Therapists in Van Buren, AR

Photo of Janice Newton, Clinical Social Work/Therapist, LCSW
Janice Newton
Clinical Social Work/Therapist, LCSW
Van Buren, AR 72956
I am a Certified Clinical Trauma Professional Level II - Complex Trauma (CCTP-II). I hold a Certificate in Traumatic Stress Studies from the Trauma Research Foundation. I have a certification in Dialectical Behavioral Therapy (C-DBT), and I am a Certified Somatic Therapy Foundations Practitioner (CSTFP). I have specialized training in Eye Movement Desensitization and Reprocessing (EMDR), Brainspotting, Flash Technique, Emotional Freedom Technique (EFT) Tapping, Havening Technique, and other Somatic-Based Interventions.
I am a Certified Clinical Trauma Professional Level II - Complex Trauma (CCTP-II). I hold a Certificate in Traumatic Stress Studies from the Trauma Research Foundation. I have a certification in Dialectical Behavioral Therapy (C-DBT), and I am a Certified Somatic Therapy Foundations Practitioner (CSTFP). I have specialized training in Eye Movement Desensitization and Reprocessing (EMDR), Brainspotting, Flash Technique, Emotional Freedom Technique (EFT) Tapping, Havening Technique, and other Somatic-Based Interventions.
(479) 467-6921 View (479) 467-6921
Photo of Diane D Bynum - Lumina Behavioral Health, Licensed Professional Counselor, LPC-TH, LADAC, ADC CSD
Lumina Behavioral Health
Licensed Professional Counselor, LPC-TH, LADAC, ADC CSD
Van Buren, AR 72956
Lumina Behavioral Health in Van Buren, AR. serve men 18 years old and above in a residential setting for substance abuse and co-occurring disorders. Lumina serves both men and women 18 years or older in day treatment services such as partial hospitalization or intensive outpatient at the Van Buren location. Outpatient services either in person or tele/health is offered for mental health services. Insurances are accepted.
Lumina Behavioral Health in Van Buren, AR. serve men 18 years old and above in a residential setting for substance abuse and co-occurring disorders. Lumina serves both men and women 18 years or older in day treatment services such as partial hospitalization or intensive outpatient at the Van Buren location. Outpatient services either in person or tele/health is offered for mental health services. Insurances are accepted.
(479) 349-4906 View (479) 349-4906
Photo of Melissa Huff, Counselor, MS, LPC, LMFT
Melissa Huff
Counselor, MS, LPC, LMFT
1 Endorsed
Van Buren, AR 72956
Waitlist for new clients
Do you feel as if your life has a “before” and “after?” Do you feel stuck, like you can’t shake what happened to you or your relationships? I would love the opportunity to help you make sense of your story and build your path forward. - ¿Sientes como si tu vida tuviera un “antes” y un “después”? ¿Te sientes atascado, como si no pudieras deshacerte de lo que te ha pasado a ti o a tus relaciones? Me encantaría tener la oportunidad de ayudarte a dar sentido a tu historia y construir tu camino hacia adelante.
Do you feel as if your life has a “before” and “after?” Do you feel stuck, like you can’t shake what happened to you or your relationships? I would love the opportunity to help you make sense of your story and build your path forward. - ¿Sientes como si tu vida tuviera un “antes” y un “después”? ¿Te sientes atascado, como si no pudieras deshacerte de lo que te ha pasado a ti o a tus relaciones? Me encantaría tener la oportunidad de ayudarte a dar sentido a tu historia y construir tu camino hacia adelante.
(479) 777-2411 View (479) 777-2411
Photo of Sarah Gasaway, Counselor, LPC
Sarah Gasaway
Counselor, LPC
Online Only
I work with adults who feel overwhelmed, stuck, or disconnected despite “holding it together” on the outside. Many come in wanting to understand old patterns, big emotions, or the tension their body carries. They’re tired of pushing through and want real, lasting change. My clients want a grounded, compassionate space to explore their story, build regulation, and reconnect with themselves. If you’re ready for deeper healing, I’d be honored to support you.
I work with adults who feel overwhelmed, stuck, or disconnected despite “holding it together” on the outside. Many come in wanting to understand old patterns, big emotions, or the tension their body carries. They’re tired of pushing through and want real, lasting change. My clients want a grounded, compassionate space to explore their story, build regulation, and reconnect with themselves. If you’re ready for deeper healing, I’d be honored to support you.
(501) 466-7412 View (501) 466-7412
Photo of Richard W Waggoner, Licensed Professional Counselor, LPC, MS
Richard W Waggoner
Licensed Professional Counselor, LPC, MS
Serves Area
Depression, anxiety, and a sense of being stuck in the 'same old thing' are common themes. Marital is my post masters training area of emphasis. I also offer courses for premarital and co-parenting. Military, Police, First-Responders, Veterans, and their families are populations I specifically want to support. To do this I practice an evidenced based trauma therapy called EMDR that uses the body's built-in processes for digesting maladaptive information.
Depression, anxiety, and a sense of being stuck in the 'same old thing' are common themes. Marital is my post masters training area of emphasis. I also offer courses for premarital and co-parenting. Military, Police, First-Responders, Veterans, and their families are populations I specifically want to support. To do this I practice an evidenced based trauma therapy called EMDR that uses the body's built-in processes for digesting maladaptive information.
(479) 763-3190 View (479) 763-3190
Photo of Bryant Omar Prieto - New Leaf Counseling of the River Valley , Licensed Professional Counselor, LPC
New Leaf Counseling of the River Valley
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Award-winning counseling center in Fort Smith offering in-person and telehealth therapy for adults. At New Leaf Counseling, we help adults who feel overwhelmed, disconnected, or stuck in patterns shaped by stress, trauma, and life transitions. Many of our clients are high-functioning on the outside but struggling internally with anxiety, emotional exhaustion, relationship challenges, or the lingering impact of past experiences. Our therapists provide evidence-based, trauma-informed counseling, including EMDR and relationship-focused approaches, tailored to each client’s needs and goals.
Award-winning counseling center in Fort Smith offering in-person and telehealth therapy for adults. At New Leaf Counseling, we help adults who feel overwhelmed, disconnected, or stuck in patterns shaped by stress, trauma, and life transitions. Many of our clients are high-functioning on the outside but struggling internally with anxiety, emotional exhaustion, relationship challenges, or the lingering impact of past experiences. Our therapists provide evidence-based, trauma-informed counseling, including EMDR and relationship-focused approaches, tailored to each client’s needs and goals.
(479) 448-4696 View (479) 448-4696
Photo of Jonna Taylor, Clinical Social Work/Therapist, PLMSW
Jonna Taylor
Clinical Social Work/Therapist, PLMSW
2 Endorsed
Serves Area
Are you feeling weighed down by anxiety, self-doubt, or interpersonal conflict and longing for a safe space to be heard without judgment? Do you hope to improve understanding of yourself, improve relationships, and feel more confident in their daily life? Is your goal to break free from old patterns, discover healthier ways to cope, and build a life that reflects their true self? My ideal client, what they want most is to feel more grounded, connected, and empowered to create lasting change.
Are you feeling weighed down by anxiety, self-doubt, or interpersonal conflict and longing for a safe space to be heard without judgment? Do you hope to improve understanding of yourself, improve relationships, and feel more confident in their daily life? Is your goal to break free from old patterns, discover healthier ways to cope, and build a life that reflects their true self? My ideal client, what they want most is to feel more grounded, connected, and empowered to create lasting change.
(479) 348-3727 View (479) 348-3727
Photo of Beatriz Orozco, Counselor, LAC
Beatriz Orozco
Counselor, LAC
3 Endorsed
Serves Area
I have an affinity for working with individuals grappling with generalized anxiety, depression, and trauma. Perhaps you are exhausted of living a life limited by worry, shame or guilt and struggle with loneliness. You may be new to therapy or a returning client needing assistance navigating life transitions or seasons. You may even need help forming healthier and positive relationships. Together we can help you reach your desired life by helping you unpack the weight you've been carrying. My goal is to provide an inviting space you can make your own and gently guide you to the direction you desire in your life.
I have an affinity for working with individuals grappling with generalized anxiety, depression, and trauma. Perhaps you are exhausted of living a life limited by worry, shame or guilt and struggle with loneliness. You may be new to therapy or a returning client needing assistance navigating life transitions or seasons. You may even need help forming healthier and positive relationships. Together we can help you reach your desired life by helping you unpack the weight you've been carrying. My goal is to provide an inviting space you can make your own and gently guide you to the direction you desire in your life.
(479) 777-0725 View (479) 777-0725
Photo of Bryant Prieto, Licensed Professional Counselor, MS, LPC-TA, NCC, ACCTS, EMDR-CT
Bryant Prieto
Licensed Professional Counselor, MS, LPC-TA, NCC, ACCTS, EMDR-CT
1 Endorsed
Serves Area
EMDR-certified trauma therapy for adults struggling with anxiety, attachment wounds, and emotional overwhelm. If you feel stuck in survival mode—constantly on edge, emotionally overwhelmed, or caught in patterns shaped by past experiences—you’re not alone. Many high-functioning adults carry unresolved trauma that quietly impacts how they feel, relate, and move through life.
EMDR-certified trauma therapy for adults struggling with anxiety, attachment wounds, and emotional overwhelm. If you feel stuck in survival mode—constantly on edge, emotionally overwhelmed, or caught in patterns shaped by past experiences—you’re not alone. Many high-functioning adults carry unresolved trauma that quietly impacts how they feel, relate, and move through life.
(479) 668-3171 View (479) 668-3171
Photo of Kenneth E Harris - Kenneth Harris, Licensed Professional Counselor, LPC-S, LADAC, ADC, NCC, EMDR
Kenneth Harris
Licensed Professional Counselor, LPC-S, LADAC, ADC, NCC, EMDR
Serves Area
"Over the past few years, the demand for mental health services has increased. The field of mental health, in efforts to meet this demand, has caused the technique of counseling to become commercialized. When I created Harris & Harris my mission was to create a business practice that was ethically driven to get back to the basics of counseling. Customer volume should never be a measurement of success within a business, but providing consistent quality service should always be a measurement standard."
"Over the past few years, the demand for mental health services has increased. The field of mental health, in efforts to meet this demand, has caused the technique of counseling to become commercialized. When I created Harris & Harris my mission was to create a business practice that was ethically driven to get back to the basics of counseling. Customer volume should never be a measurement of success within a business, but providing consistent quality service should always be a measurement standard."
(479) 616-1860 View (479) 616-1860
Photo of Stacy Adams, Marriage & Family Therapist, LMFT-TA, EMDR-T, CSAM, CAIMHP, C-ADHD
Stacy Adams
Marriage & Family Therapist, LMFT-TA, EMDR-T, CSAM, CAIMHP, C-ADHD
1 Endorsed
Serves Area
I want to start by saying that I truly hold a solid belief that each and every human deserves to feel happiness, love, excitement, contentment, and ultimately to achieve their dreams, desires, goals, and best-selves! I implement an integrative approach, with a craving to help. Whether that assistance be with an individual navigating ADHD, a person learning to cope with anxiety/depression, a couple for growth & change, entire family in need, I am devoted to seeking out and destroying the obstacles, strongholds, cognitive distortions, or whatever the “problem” is that is impeding their ability to live happy, healthy, fulfilled lives.
I want to start by saying that I truly hold a solid belief that each and every human deserves to feel happiness, love, excitement, contentment, and ultimately to achieve their dreams, desires, goals, and best-selves! I implement an integrative approach, with a craving to help. Whether that assistance be with an individual navigating ADHD, a person learning to cope with anxiety/depression, a couple for growth & change, entire family in need, I am devoted to seeking out and destroying the obstacles, strongholds, cognitive distortions, or whatever the “problem” is that is impeding their ability to live happy, healthy, fulfilled lives.
(479) 342-4522 View (479) 342-4522
Photo of Lisa Brock, Marriage & Family Therapist, LMFT, LPC
Lisa Brock
Marriage & Family Therapist, LMFT, LPC
Serves Area
I consider it a joy to work with couples, families, and individuals. It is an honor when people allow me to walk beside them in their journey. I believe that each person has great worth and their stories are as unique as snowflakes. Sitting with people in their distress gives me an unparalleled vantage point from which to watch the healing power of secure attachment in the lives of my clients. Relationships provide a safe harbor for our lives and when they are strained or broken, we feel real pain. My approach provides a proven path back to healthy relationships.
I consider it a joy to work with couples, families, and individuals. It is an honor when people allow me to walk beside them in their journey. I believe that each person has great worth and their stories are as unique as snowflakes. Sitting with people in their distress gives me an unparalleled vantage point from which to watch the healing power of secure attachment in the lives of my clients. Relationships provide a safe harbor for our lives and when they are strained or broken, we feel real pain. My approach provides a proven path back to healthy relationships.
(479) 777-0997 View (479) 777-0997
Photo of Gregory D Roberts, Licensed Professional Counselor, LPC PhD
Gregory D Roberts
Licensed Professional Counselor, LPC PhD
Serves Area
28 years of clinical practice. Specializing in the treatment of young adult and adolescent anxiety. Significant experience in issues of identity and intimacy and many years of treatment applications of substance abuse and codependent behavior. Appreciating an awareness of personal research in narcissistic and dependent personality relationships. Useful applications of helping individuals understand the workings and functions of a healthy relationship. Attachment assessment and family systems assessment. Sum: Anxiety, Attachment, Recovery, Adolescence, Adjustment, Intimacy, Identity, Boundaries and Health Relationship therapy.
28 years of clinical practice. Specializing in the treatment of young adult and adolescent anxiety. Significant experience in issues of identity and intimacy and many years of treatment applications of substance abuse and codependent behavior. Appreciating an awareness of personal research in narcissistic and dependent personality relationships. Useful applications of helping individuals understand the workings and functions of a healthy relationship. Attachment assessment and family systems assessment. Sum: Anxiety, Attachment, Recovery, Adolescence, Adjustment, Intimacy, Identity, Boundaries and Health Relationship therapy.
(479) 235-6617 View (479) 235-6617
Photo of Chelsea Neal, Licensed Professional Counselor, LPC
Chelsea Neal
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Do you feel like you are ready for a change, but still running in place? Stuck in a rut and ready to get loose? Do you crave connection and healthy relationships, but find that you aren't sure what needs to change to get there? If you are reading this then most likely you have hit a breaking point and are looking for assistance in mending what has broken. It would be my honor to help guide you and provide care and support as you work to become your healthiest and truest self.
Do you feel like you are ready for a change, but still running in place? Stuck in a rut and ready to get loose? Do you crave connection and healthy relationships, but find that you aren't sure what needs to change to get there? If you are reading this then most likely you have hit a breaking point and are looking for assistance in mending what has broken. It would be my honor to help guide you and provide care and support as you work to become your healthiest and truest self.
(479) 341-6533 View (479) 341-6533
Photo of Chelsi Steele, Licensed Professional Counselor, LPC, RPT
Chelsi Steele
Licensed Professional Counselor, LPC, RPT
Serves Area
I am a Licensed Professional Counselor that specializes in play therapy to provide counseling services to children, adolescents, and their families. I am honored to work with children and to provide a safe place for them to resolve psychosocial difficulties and achieve optimal growth and development, specifically through play. My work with children involves meeting them where they are emotionally and developmentally through play therapy, while also working with their families to improve daily functioning. Play therapy gives children the capability to improve regulation skills, tolerate frustrations, and improve relationships.
I am a Licensed Professional Counselor that specializes in play therapy to provide counseling services to children, adolescents, and their families. I am honored to work with children and to provide a safe place for them to resolve psychosocial difficulties and achieve optimal growth and development, specifically through play. My work with children involves meeting them where they are emotionally and developmentally through play therapy, while also working with their families to improve daily functioning. Play therapy gives children the capability to improve regulation skills, tolerate frustrations, and improve relationships.
(479) 239-8555 View (479) 239-8555
Photo of Erica Hutchison, Licensed Professional Counselor, LPC-S, RPT-S, NCC
Erica Hutchison
Licensed Professional Counselor, LPC-S, RPT-S, NCC
Serves Area
I provide play therapy and counseling services to children, adolescents, and their families. I feel privileged to work with children and help them to heal emotionally, repair relationships, and improve daily functioning. I believe that all children possess the inner resources to heal themselves. I also believe that play therapy, family support, and the child's relationship with the therapist, best enable children to access those inner resources so they can heal, move forward, and be successful.
I provide play therapy and counseling services to children, adolescents, and their families. I feel privileged to work with children and help them to heal emotionally, repair relationships, and improve daily functioning. I believe that all children possess the inner resources to heal themselves. I also believe that play therapy, family support, and the child's relationship with the therapist, best enable children to access those inner resources so they can heal, move forward, and be successful.
(479) 717-9071 View (479) 717-9071
Photo of Robin M. Sanders - True Self Counseling, Licensed Professional Counselor, MS, LPC
True Self Counseling
Licensed Professional Counselor, MS, LPC
Serves Area
Tired of feeling like you have to be a "super parent" and manage everything at once? Are there days you just don't want to get up and you can't figure out why? What about fears that control your life? All of these are life struggles and real problems. My job is to help individuals and couples with life stressors and take control of their lives.
Tired of feeling like you have to be a "super parent" and manage everything at once? Are there days you just don't want to get up and you can't figure out why? What about fears that control your life? All of these are life struggles and real problems. My job is to help individuals and couples with life stressors and take control of their lives.
(479) 883-2081 View (479) 883-2081
Photo of Tara Clifford, Licensed Professional Counselor, LPC
Tara Clifford
Licensed Professional Counselor, LPC
2 Endorsed
Serves Area
Step out into freedom and embrace the life you were born to live! Is fear running your life? Do you hide the “real you” from family & friends? Discover the courage to be who you truly are! Many people dealing with anxiety, depression and gender and sexuality issues feel they are missing out on life. Clients I work with often report feeling alone and afraid to reach out for help. They no longer want to hide who they are, yet also feel stuck moving forward due to lack of support or fear of judgement. My passion is to help you ditch the shame and find freedom to love the person in the mirror despite the opinions of others.
Step out into freedom and embrace the life you were born to live! Is fear running your life? Do you hide the “real you” from family & friends? Discover the courage to be who you truly are! Many people dealing with anxiety, depression and gender and sexuality issues feel they are missing out on life. Clients I work with often report feeling alone and afraid to reach out for help. They no longer want to hide who they are, yet also feel stuck moving forward due to lack of support or fear of judgement. My passion is to help you ditch the shame and find freedom to love the person in the mirror despite the opinions of others.
(479) 431-4201 View (479) 431-4201
Photo of Robin L. Jackson, Licensed Professional Counselor, MS, LPC
Robin L. Jackson
Licensed Professional Counselor, MS, LPC
1 Endorsed
Serves Area
There can be healing and growth after experiencing really hard parts of life.. Trauma doesn’t have to be the end of your story. You can write a new chapter. I am passionate about coming alongside those who are adjusting to life changes and seeking personal growth, as well as helping those who are working through the effects of abuse, PTSD, anxiety, depression, and grief.
There can be healing and growth after experiencing really hard parts of life.. Trauma doesn’t have to be the end of your story. You can write a new chapter. I am passionate about coming alongside those who are adjusting to life changes and seeking personal growth, as well as helping those who are working through the effects of abuse, PTSD, anxiety, depression, and grief.
(479) 364-5768 View (479) 364-5768
Photo of Skylar Moore, Counselor, MA, LAC, NCC
Skylar Moore
Counselor, MA, LAC, NCC
1 Endorsed
Serves Area
Most of the people I work with are used to pushing through. They think a lot. They carry a lot. They’ve figured out how to function - even when something underneath feels off, overwhelming, or hard to name. I work with adults navigating anxiety, burnout, trauma, depression, neurodivergence, life-transitions, and caregiving roles. Many are high-functioning but internally stretched - dealing with rumination, self-criticism, sensory overwhelm, emotional shutdown, or cycles of overworking and collapse. Others are trying to reconnect with themselves after years of adapting to others.
Most of the people I work with are used to pushing through. They think a lot. They carry a lot. They’ve figured out how to function - even when something underneath feels off, overwhelming, or hard to name. I work with adults navigating anxiety, burnout, trauma, depression, neurodivergence, life-transitions, and caregiving roles. Many are high-functioning but internally stretched - dealing with rumination, self-criticism, sensory overwhelm, emotional shutdown, or cycles of overworking and collapse. Others are trying to reconnect with themselves after years of adapting to others.
(479) 425-4248 View (479) 425-4248

See more therapy options for Van Buren

How does your Therapist compare?

Number of Therapists in Van Buren, AR

50+

Average cost per session

$170

Therapists in Van Buren, AR who prioritize treating:

96% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
72% Stress
66% Grief

Average years in practice

12 Years

Top 3 insurances accepted

83% Ambetter
77% BlueCross and BlueShield
66% QualChoice

How Therapists in Van Buren, AR see their clients

92% In Person and Online
8% Online Only

Gender breakdown

69% Female
31% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Van Buren?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.